Fractures of the surgical neck of the scapula with separation of the coracoid base

2020 ◽  
Vol 99 (8) ◽  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Fracture Pattern ◽  
Ct Diagnosis ◽  
Rare Type ◽  
Neck Fracture ◽  
Unstable Type ◽  
Stable Internal Fixation

Fractures of the surgical neck of the scapula combined with a fracture of the coracoid base constitute a specific and rare type of a fracture pattern. When displaced, they present a severe, completely unstable type of surgical neck fracture, requiring a precise CT diagnosis, open reduction and stable internal fixation of the fracture via the Judet approach. The aim of this study is to describe our four cases and discuss three others reported to date.

Stable Internal Fixation of Fractures of the Partially Mineralized Thyroid Cartilage

1992 ◽  
Vol 101 (1) ◽  
pp. 76-80 ◽  
Author(s):  
John R. Austin ◽  
Robert B. Stanley ◽  
Donald S. Cooper
Keyword(s):  
At Risk ◽  
Internal Fixation ◽  
Blunt Trauma ◽  
Open Reduction ◽  
Thyroid Cartilage ◽  
Protective Mechanism ◽  
Fixation Technique ◽  
Laryngeal Stenosis ◽  
Stable Internal Fixation

Thyroid cartilage fractures due to external blunt trauma have typically been thought to occur in patients over the age of 40. Lack of mineralization of the cartilage has been considered to be the protective mechanism. Our experience with laryngeal injuries has demonstrated that younger persons are indeed at risk for thyroid cartilage fractures, and that these injuries may be easily overlooked. Although these fractures do not lead to laryngeal stenosis if untreated, they may cause noticeable phonatory changes. Fixation of these fractures is difficult because of the usual soft character of the unmineralized cartilage, prompting us to adopt a wire-tube fixation technique. This technique has been uniformly successful in restoring the anatomic contour of the thyroid cartilage, and our results appear to justify open reduction of these moderately displaced or angulated thyroid cartilage fractures.

A Rare Case of Reverse Oblique Ulnar Head and Neck Fracture

Hand Surgery ◽  
2015 ◽  
Vol 20 (03) ◽  
pp. 477-478 ◽  
Author(s):  
Li June Tay ◽  
Howard Cottam ◽  
Jonathan Compson
Keyword(s):  
Internal Fixation ◽  
Head And Neck ◽  
Rare Case ◽  
Fracture Pattern ◽  
Ulnar Head ◽  
Neck Fracture

Isolated distal ulnar head and neck fractures are rare. Undisplaced fractures are normally treated non-operatively. We report a case of a reverse oblique ulnar head and neck fracture, which despite the initial undisplaced configuration, was unstable and displaced over the subsequent weeks. We believe that, though this particular fracture pattern could have been treated in a cast, it requires careful follow up, especially early on, or to undergo early internal fixation.

Comparison of radial head excision and open reduction & internal fixation for comminuted radial head & neck fracture

2001 ◽  
Vol 14 (1) ◽  
pp. 106
Author(s):  
Jae-Gune Jun ◽  
Chul-Hyung Lee ◽  
Sung-Jun Han ◽  
Sang-Seon Lee ◽  
Won-Tae Choi ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Radial Head ◽  
Open Reduction ◽  
Open Reduction Internal Fixation ◽  
Neck Fracture ◽  
Radial Head Excision ◽  
Head Neck

scholarly journals Functional and Radiological evaluation of management of tibial plateau fractures: A prospective study

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 1365-1371
Author(s):  
Priyank Bhatt ◽  
Sunil Nikose
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
High Speed ◽  
Tibial Plateau ◽  
Road Traffic ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Fracture Pattern ◽  
Tibial Plateau Fractures ◽  
Type I

The knee is a crucial joint, as it performs various functions such as standing, walking, running, sitting etc. Tibial plateau fractures constitute 1% of overall fractures and 8% of fractures occurring in the geriatric age group. Knee injuries must be properly and adequately treated to keep the knee in a good functional state. The transition to a fast-paced lifestyle on account of rapid industrialization, urbanization and mechanization has led to a significant increase in the traumatic incidences - especially polytrauma, comminuted Fractures and soft tissue injury.  High-speed injury acquired in vehicular accidents and a rise in road traffic injuries together creates a forever increasing issue. The static lower extremity can be encountered by an object in motion, frequent in roadside injury, resulting in the infamous "Bumper Fracture". Open Reduction with Internal Fixation (ORIF) is currently recommended. Hence, a study has been conducted to learn the mode of injury, fracture pattern, outcome of open reduction and internal fixation, complications encountered and associated injuries. 50  Patients were studied prospectively and pre and post-operative evaluation were done using modified Rasmussen clinical and radiological criteria and Womac knee score. Open reduction and internal fixation provide reasonable outcome with regards to functional and radiological outcome in younger patients and type I and II fractures.

scholarly journals Slipped capital femoral epiphysis after treatment of femoral neck fracture

2019 ◽  
Vol 36 (ICON-Suppl) ◽  
Author(s):  
Muhammad Amin Chinoy ◽  
Sateesh Pal ◽  
Mansoor Ali Khan
Keyword(s):  
Femoral Neck ◽  
Internal Fixation ◽  
Femoral Neck Fracture ◽  
Weight Bearing ◽  
Slipped Capital Femoral Epiphysis ◽  
Coxa Vara ◽  
Femur Neck Fracture ◽  
Anatomic Reduction ◽  
Neck Fracture ◽  
Stable Internal Fixation

Slipped capital femoral epiphysis (SCFE) in children after treatment of femoral neck fracture is a very rare condition. This complication should be recognized promptly and treated urgently. The risk of development of this complication can be minimized by anatomical reduction of the fracture and stable internal fixation of the fracture. Five years old male child sustained right sided femur neck fracture and was treated with closed reduction and Hip spica cast application. The fracture healed with a varus deformity. After 7 months, he developed slip of femoral epiphysis with a coxa vara deformity of proximal femur, which was treated with in situ fixation with Cannulated screws. His subsequent course remained uneventful up to five months.Slipped capital femoral epiphysis (SCFE) after treatment of femoral neck fracture in children is a rare complication that should be recognized and treated promptly. The onset of SCFE may show inadequate reduction or fixation of the fracture. Anatomic reduction and stable internal fixation for femoral neck fracture in children provides best outcomes. Postoperative care and delayed weight bearing are also equally important to avoid complications. doi: https://doi.org/10.12669/pjms.36.ICON-Suppl.1725 How to cite this:Chinoy MA, Pal S, Khan MA. Slipped capital femoral epiphysis after treatment of femoral neck fracture. Pak J Med Sci. Special Supplement ICON 2020. 2020;36(1):S94-S97. doi: https://doi.org/10.12669/pjms.36.ICON-Suppl.1725 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Surgical treatment of the unstable type C pelvic injury

2013 ◽  
Vol 60 (2) ◽  
pp. 53-58 ◽  
Author(s):  
Sasa Milenkovic ◽  
Milorad Mitkovic ◽  
Jordan Saveski ◽  
Ivan Micic ◽  
Milan Mitkovic ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Internal Fixation ◽  
Open Reduction ◽  
Pelvic Ring ◽  
Posterior Pelvic Ring ◽  
Pelvic Ring Injuries ◽  
Pelvic Injuries ◽  
Ring Complex ◽  
Type C ◽  
Stable Internal Fixation

Rotationally and vertically unstable injuries to the pelvic ring (Type C) require stabilisation of the anterior and posterior pelvic ring complex. Inadequate treatment of these injuries leads to chronic instability of the pelvic ring, which can finally cause permanent disability. Open reduction and stable internal fixation of the anterior and posterior complex of unstable pelvic ring injuries are standard procedures in the treatment of hemodynamically stable patients with (Type C) pelvic injuries. Our aim is to show that this type of treatment achieves excellent and good results. All patients were operated on using the method of open reduction and anterior plate fixation of sacroiliac complex as well as fixation of the pubic symphisis. We present a retrospective study of the results concerning the treatment of 19 patients with (Type C ) unstable pelvic injuries. The average age of the patients was 43,21 years old. The final functional results, 2 years post-surgery according to the Majeed scoring system and the results were excellent in 11 (57.89%) and good in 8 (42.1%) patients. There were no bad results to report. Type C pelvic ring injuries are unstable and unless they are adequately treated, they can lead to permanent consequences. Surgical treatment that includes open reduction and stable internal fixation of the anterior and posterior pelvic ring complex leads to excellent and good results. The patients that were treated surgically by fixation of the anterior and posterior pelvic ring complex return to their everyday lives and work activities.

scholarly journals Neglected Neck of Femur Fracture Managed by Surgical Hip Dislocation: A Case Report and Literature Review

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Mohammed S Alshehri ◽  
Mohammed A Alzahrani ◽  
Abdullah A Ghaddaf ◽  
Mohammed S Alomari
Keyword(s):  
Young Adults ◽  
Case Report ◽  
Femoral Neck ◽  
Internal Fixation ◽  
Open Reduction ◽  
Military Training ◽  
Hip Dislocation ◽  
Surgical Hip Dislocation ◽  
Neck Of Femur ◽  
Neck Fracture

Introduction: Femoral neck fractures (FNFs) in young adults are relatively uncommon emergency that requires early diagnosis and management possible to prevents joint complications. Case Report: A 24-year-old male presented with a right hip pain for 3 months after a heavy physical exercise during military training. The imaging exhibited a transcervical FNF with displacement and a potential of avascular necrosis (AVN). The patient was managed by Open reduction and internal fixation through surgical hip dislocation (SHD) and bone grafting from the right iliac bone. The patient returned to his full military services 14 weeks following the surgery and was followed for 3 years without any symptomatic or functional problems. Conclusion: SHD could be one of the surgical options hired in the management of late presentations of FNFs in young adults with high suspicion of AVN. Keywords: Femoral neck fracture, open reduction and internal fixation, surgical hip dislocation.

scholarly journals Diaphyseal fractures of the forearm in adults, comparative study of dynamic compression plate versus intramedullary nail

2019 ◽  
Vol 5 (5) ◽  
pp. 916
Author(s):  
Sagar Venkataraman ◽  
Prabhu Ethiraj ◽  
Arun Heddur Shanthappa Naik ◽  
Sachin Prakash Angadi
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Road Traffic ◽  
Dynamic Compression ◽  
Fracture Pattern ◽  
Plate Versus ◽  
Forearm Fractures ◽  
Dynamic Compression Plate ◽  
Non Union ◽  
Compression Plate

<p class="abstract"><strong>Background:</strong> Forearm fractures are common nowadays because of road traffic accident. It is important to achieve anatomical reduction of both bone forearm fractures to regain function of upper limb. This study is undertaken to observe functional and radiological outcome using two different surgical modalities like dynamic compression plating (DCP), and intramedullary nailing in both bone forearm fractures and also to indivualize the optimal treatment method for different fracture pattern.</p><p class="abstract"><strong>Methods:</strong> Our study included 60 patients with diaphyseal forearm fractures in adults presenting to orthopaedic outpatient department. Among 60 patients, 30 patients underwent open reduction and internal fixation by dynamic compression plate and other 30 patients underwent closed reduction/open reduction by square nail after detailed pre-operative evaluation.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study average union time in DCP group is 23.39 weeks and square nail group is 28.89 weeks. Union in DCP group was 27 (90%) and square nail group 22 (73.33%). Delayed union in DCP group was 03 (10%) and in Square nail group was 6 (20%), non-union in DCP group was 0 (nil) and in square nail group was 2 (06%).</p><p class="abstract"><strong>Conclusions:</strong> Open reduction and internal fixation with DCP plates for both bone diaphyseal forearm fractures gives good results with early union rates. We also found that in open fractures and complex fracture like segmental fractures square nailing was better option compared to dynamic compression plate to reduce infection rates, retain periosteal blood supply from soft tissue. Thus we conclude that both implants are equally important and we should prioritize based on preoperative planning.</p>

Sign in / Sign up

Export Citation Format

Share Document